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To save time, download and complete these forms and bring to your chiropractic appointment. You may also scan or fax completed paperwork to our office.

Scan to info@proactivechiroandlaser.com

Fax to (815) 517-0826

New Patient PaperworkDownload
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Records RequestDownload

If you have any questions, please contact our team at (815) 517-0826.

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  • Home
  • Meet Dr. Ryan
  • What to Expect
  • Laser Therapy
  • Decompression Therapy
  • Treatment